DR. MATTHEW MCCABE (NPI# 1639508096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639508096 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW MCCABE |
| Credential | D.M.D. |
| Practice Address |
4341 Gautier Vancleave Rd Suite 3 Gautier MS 39553-4825 |
| Practice Telephone | 2284979844 |
| Practice Fax Number | 2284979499 |
| Mailing Telephone | 2284979844 |
| Mailing Fax Number | 2284979499 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2015-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3541-10 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003289513 | Matthew Edward Mccabe I | Chiropractor | 10491 6 Mile Cypress Pkwy, Fort Myers, FL 33966-6406 | 2015-11-05 |
| 1275000572 | Matthew Paul Mccabe | Physician Assistant | 1425 Portland Ave, Rochester, NY 14621-3011 | 2018-10-25 |
| 1235584004 | Matthew Mccabe | Podiatrist | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2016-04-29 |
| 1215349410 | Matthew R Mccabe | Specialist/Technologist | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2014-05-22 |
| 1679837736 | Matthew Francis Mccabe | Dentist | 229 E Center St, Manchester, CT 06040-5207 | 2012-07-03 |
| 1326274598 | Matthew Christopher Mccabe | Dentist | 512 Cowan Rd, Gulfport, MS 39507-2023 | 2009-06-02 |
| 1578719514 | Matthew John Mccabe | Acupuncturist | 205 Robin Rd, Suite 118, Paramus, NJ 07652-1449 | 2008-08-11 |
| 1801821772 | Matthew Mccabe | Chiropractor | 131 Carmichael Rd, Suite 202, Hudson, WI 54016-8269 | 2006-07-11 |
| 1124004890 | Matthew Mccabe | Nurse Anesthetist, Certified Registered | 1 Elliot Way, Suite 200, Manchester, NH 03103-3502 | 2005-12-15 |
| Street Address |
4341 GAUTIER VANCLEAVE RD SUITE 3 |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235286642 | Samuel Bowen Mayfield | Dentist | 4341 Gautier Vancleave Rd, Suite 3, Gautier, MS 39553-4825 | 2007-01-05 |
| 1922411297 | Mccabe Orthodontics Pllc | Dentist | 4341 Gautier Vancleave Rd, Suite 3, Gautier, MS 39553-4825 | 2014-06-04 |
| 1376757138 | Dr. Samuel B. Mayfield | Dentist | 4341 Gautier Vancleave Rd, Suite 3, Gautier, MS 39553-4825 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235286642 | Samuel Bowen Mayfield | Dentist | 4341 Gautier Vancleave Rd, Suite 3, Gautier, MS 39553-4825 | 2007-01-05 |
| 1922411297 | Mccabe Orthodontics Pllc | Dentist | 4341 Gautier Vancleave Rd, Suite 3, Gautier, MS 39553-4825 | 2014-06-04 |
| 1376757138 | Dr. Samuel B. Mayfield | Dentist | 4341 Gautier Vancleave Rd, Suite 3, Gautier, MS 39553-4825 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200673 | Blake Denton Boleware | Dentist | 525 Thomastown Ln Ste A, Ridgeland, MS 39157-3440 | 2020-09-17 |
| 1386277291 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 | 2020-02-19 |
| 1225692213 | Roberts & Garza Orthodontics Services Pllc | Dentist | 946 Goodman Rd E, Southaven, MS 38671-8825 | 2019-04-25 |
| 1194294652 | Roberts & Garza Orthodontics Services Pllc | Dentist | 101 N Industrial Rd Ste H, Tupelo, MS 38801-3441 | 2018-11-14 |
| 1689157588 | Hop Orthodontics | Dentist | 120 S 28th Ave, Hattiesburg, MS 39401-7151 | 2018-09-07 |
| 1508359340 | Legendary Orthodontics, LLC | Dentist | 3225 Audubon Dr, Laurel, MS 39440-1422 | 2018-06-06 |
| 1790274603 | Gregory Goggans, D.m.d., P.C. | Dentist | 6420 Highway 11 N Ste C, Carriere, MS 39426-7146 | 2018-05-07 |
| 1114414802 | Magnolia Orthodontics | Dentist | 4348 Lincoln Road, Hattiesburg, MS 39402 | 2018-04-18 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1275086456 | Jessica Pongett | Dentist | 2408 S Lamar Blvd Ste 2, Oxford, MS 38655-5345 | 2016-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.